Shared Flashcard Set

Details

Chapter 17
Paramedic: Cardiovascular Emergencies
113
Other
Not Applicable
11/01/2012

Additional Other Flashcards

 


 

Cards

Term
How many Americans die of heart disease every year?
Definition
600,000 910
Term
According to the American Heart Association (AHA), how many of all US deaths in 2007 were attributable to heart disease?
Definition
34% 910
Term
Situated or occurring behind the sternum.
Definition
Retrosternal 911
Term
How much does the heart weigh?
Definition
Between 250g and 350g (about 9 ounces) 911
Term
How much blood does the how circulate around the body everyday?
Definition
7000-9000 L 911
Term
The palpable beat of the apex of the heart against the chest wall during ventricular contraction; normally palpated in the fifth left intercostal space in the midclavicular line.
Definition
Point of Maximal Impulse (PMI) 911
Term
What is the tough fibrous sac that surrounds the heart and is designed to protect the heart and provide lubrication between the heart and surrounding structures?
Definition
Pericardium 911
Term
What consists of a thin membrane that forms the outmost layer of the heart?
Definition
Epicardium 911
Term
What is the muscular middle layer of the heart and is composed of specialized cardiac fibers that can spontaneously contract?
Definition
Myocardium 911
Term
What consists of a thin membrane that lines the inside of the heart's cavitites and form the valves. Plays a vital role in reducing turbulence inside the heart as blood travels through the chambers?
Definition
Endocardium 911
Term
What is the superficial layer of the pericardium?
Definition
Parietal Pericardium 911
Term
What anchors the heart within the mediastinum an surrounding vessels?
Definition
Parietal Pericardium 911
Term
What is the deep layer of the pericardium and it is fused to the epicardium?
Definition
Visceral Pericardium 911
Term
What is a small amount of fluid that accumulates in the pericardial sac?
Definition
Pericardial Effusion 911
Term
What is a large amount of fluid that accumulates in the pericardial sac?
Definition
Pericardial Tamponade 911
Term
How does oxygenated blood reach the heart?
Definition
Coronary Arteries 911
Term
Where does the coronary arteries branch off the aorta just above the leaflets of the aortic valve?
Definition
Coronary Ostia 911
Term
How many coronary arteries are there?
Definition
2 (left and right) 911
Term
What does the left main coronary artery subdivide into?
Definition
Left Anterior Descending Artery (LAD) and Circumflex Coronary Artery (LCx) 911
Term
What artery supplies the more muscular left ventricle of the heart along with he interventricular septum and part of the right ventricle?
Definition
Left Anterior Descending Artery and Circumflex Coronary Artery 911
Term
What artery travels between the right atrium an right ventricle by way of the atrioventricular groove?
Definition
Right Coronary Artery (RCA) 911
Term
Which artery supply the right atrium and ventricle and part of the left ventricle with oxygen-rich blood?
Definition
Right Coronary Artery (RCA) 911
Term
What is the numerous connections between arterioles of the various coronary arteries allow for the development of alternative routes of blood flow?
Definition
Anastomoses 911
Term
What is the formation of additional blood vessels connecting arterioles originating from other blood vessels?
Definition
Collateral Circulation 911
Term
The groove along the exterior surface of the heart that separates the atria frm the ventricles.
Definition
Coronary Sulcus 911
Term
What is a large vessel in the posterior part of the coronary sulcus, which in turn ends up in the right atrium of the heart?
Definition
Coronary Sinus 911
Term
What is defined as the increase in preload pressure as a result in atrial contraction and accounts for 10-40% of ventricular filling?
Definition
Atrial Kick 912
Term
What represents a complete depolarization and repolarization of the atria and ventricles?
Definition
Cardiac Cycle 912
Term
How long is the relaxation phase?
Definition
0.52 Second 912
Term
How much fills the ventricles during the relaxation phase?
Definition
80% 912
Term
How long does it take for systole completion?
Definition
About 0.28 Second 913
Term
What is the initial stretching of the cardiac myocytes prior to contraction of the left side of the heart?
Definition
Preload 913
Term
The resistance which the ventricles contract.
Definition
Afterload 913
Term
What consist of all blood vessels between the left ventricle and right atrium?
Definition
Systemic Circulation 913
Term
What consists of all blood vessels between the right ventricle and left atrium?
Definition
Pulmonary Circulation 913
Term
What are the two principal types of blood vessels in the human body?
Definition
Arteries and Veins 914
Term
The outer layer of tissue of a blood vessel wall, composed of elastic and fibrous connective tissue.
Definition
Tunica Adventitia 914
Term
The smooth, thin, inner linning of a blood vessel.
Definition
Tunica Intima 914
Term
The middle and thickest layer of tissue of a blood vessel wall, composed of elastic tissue and smooth muscle cells that allow the vessel to expand or contract in response to changes in blood pressure and tissue demand.
Definition
Tunica Media 914
Term
What is the opening within the blood vessel?
Definition
Lumen 914
Term
What is the pressure exerted by the blood against the arterial walls?
Definition
Blood Pressure 914
Term
What is the network of microscopic blood vessels between the tiny arterioles and venules?
Definition
Capillaries 915
Term
What is the amount of blood that is pumped out by either ventricle?
Definition
Cardiac Output (CO) 915
Term
What is the normal cardiac output for an average adult?
Definition
5-6 L/min 915
Term
What is the amount of blood pumped out by either ventricle in a single contraction (heartbeat)?
Definition
Stroke Volume (SV) 915
Term
What is the normal stroke volume?
Definition
60-100 mL 915
Term
How much can a healthy heart increase its stroke volume?
Definition
At least 50% 915
Term
What is the number of cardiac contractions per minute?
Definition
Heart Rate (HR) 915
Term
The percentage of blood that leaves the heart each time it contracts and is usually measured from the left ventricle because it is the primary pump.
Definition
Ejection Fraction (EF) 915
Term
What is the normal ejection fraction of the left ventricle?
Definition
55-70% 915
Term
A characteristic of cardiac muscle that enables it, when stretched, to contract with greater force.
Definition
Frank-Starling Mechanism 917
Term
The heart can also vary the degree of contraction of its muscle without changing the stretch on the muscle-a property called ______.
Definition
Contractility 917
Term
What refers to affecting the contractility of muscle tissue?
Definition
Inotropic 917
Term
What is increasing the heart's rate of contraction?
Definition
Chronotropic Effect 918
Term
What are four important properties that help the heart to function as an efficient machine?
Definition
Excitability, Conductivity, Automaticity, and Contractility 918
Term
What allows these cells to respond to an electrical impulse?
Definition
Excitability 918
Term
What enables cardiac cells to pass an electrical impulse from one cell to another?
Definition
Conductivity 918
Term
The heart muscle is unique among body tissues because it can generate its own electrical impulses without stimulation from nerves, a property known as _____.
Definition
Automaticity 918
Term
What refers to heart cells' ability to contract?
Definition
Contractility 918
Term
What is the area of conduction tissue in which the electrical activity arises at any given time?
Definition
Pacemaker 918
Term
Where does the SA node receive blood?
Definition
Right Coronary Artery 918
Term
What is the interatrial pathway that connects the right and left atria?
Definition
Bachmann Bundle 918
Term
What a branch of the Bachmann bundle that forms a pathway between the SA and AV nodes?
Definition
Anterior Internodal Pathway 918
Term
What forms the middle internodal tract?
Definition
Wenckebach Tract 918
Term
What is the last of the internodal pathways and is represented by the posterior internodal pathway?
Definition
The Thorel Tract 918
Term
What node serves as a gatekeeper to the ventricles?
Definition
AV Node 918
Term
How much of the atria's blood fills the ventricles by gravity?
Definition
60-90% 918
Term
How much of blood fills the ventricle by the atrial kick?
Definition
10-40% 918
Term
What is the effect on the velocity of conduction?
Definition
Dromotropic Effect 919
Term
What is the process by which muscle fibers are stimulated to contract?
Definition
Depolarization 919
Term
What is straining against a closed glottis?
Definition
Valsalva Maneuver 921
Term
What are the 2 main groups of leads?
Definition
Limb Leads and Precordial Leads 938
Term
What are leads that contain a positive and negative pole?
Definition
Bipolar Leads 940
Term
What leads contain one true pole?
Definition
Augmented Unipolar Leads 940
Term
What leads are bipolar?
Definition
Leads I, II, and III 940
Term
What leads are augmented unipolar?
Definition
Leads aVR, aVL, aVF, and precordial 940
Term
What are waves containing both a positive and negative component?
Definition
Biphasic Waves 941
Term
What is indicative of a noncompliant valve, such as the mitral valve found in a patient who has a history of rheumatic fever?
Definition
Opening snap 935
Term
What is a high pitched sound occurs just after the S1 sound: it may indicate a dilated pulmonary artery or septal defect?
Definition
Ejection click 935
Term
What creates a to and fro sound that can be heard in systole and diastole?
Definition
Pericardial friction rub 935
Term
What is an ambiguous sound that is associated with turbulent blood flow through the heart valves?
Definition
Murmur 935
Term
What is a vibration that occurs frequently and remains constant?
Definition
Thrill 935
Term
What is a high pitched sound during the diastole phase that indicates a thickend pericardium that is limiting how far the ventricle can expand during the diastole phase?
Definition
Pericardial knock 935
Term
What occurs when the palpated radial pulse rate is less than the apical pulse rate?
Definition
Pulse deficit 935
Term
What pulse alternates between strong and weak beats and typically is represntative of left ventricular systolic damage?
Definition
Pulsus alternans 935
Term
What is dysrhythmia that arises from irritable spots in the myocardium?
Definition
Ectopic foci 936
Term
What is a rapid dysrhythmia?
Definition
Tachydysrhythmia 936
Term
What includes the AV node and its surrounding tissue along with the bundle of His?
Definition
AV Junction 918
Term
What is the period when the cell is depolarized or in the process of repolarizing?
Definition
Refractory Period 920
Term
What is the early phase of cardiac repolarization, wherein the heart muscle cannot be stimulated to depolarize?
Definition
Absolute Refractory Period 920
Term
What is the period in the cell-firing cycle at which it is possible but difficult to restimulate the cell to contract?
Definition
Relative Refractory Period 920
Term
What is the depolarization of the atria on an ECG?
Definition
P Wave 920
Term
What represents ventricle depolarization on an ECG?
Definition
QRS Complex 921
Term
What represents the amount of time the AV node delays transmission of atrial activity to the ventricles on an ECG?
Definition
PR Segment 921
Term
What is the part of the human nervous system that controls automatic (involuntary) actions?
Definition
Autonomic Nervous System 921
Term
What is an enzyme that breaks down ACh so it can be recycled?
Definition
Acetylcholinesterase 922
Term
What is an acute episode of shortness of breath in which the patient suddenly awakes from sleep with a feeling of suffocation?
Definition
Paroxysmal Nocturnal Dyspnea (PND) 929
Term
What refers to the sensation of an abnormally fast or irregular heartbeat?
Definition
Palpitations 929
Term
What is indicative of a noncompliant valve, such as the mitral valve found in a patient who has a history of rheumatic fever?
Definition
Opening Snap 935
Term
What is a high-pitched sound occurs just after the S1 sound?
Definition
Ejection Click 935
Term
What may indicate a dilated pulmonary artery or septal defect?
Definition
Ejection Click 935
Term
What creates a to-and-fro sound that can be heard in systole and diastole and is heard in patients who have inflammation of the pericardial sac?
Definition
Pericardial Friction Rub 935
Term
What is inflammation of the pericardial sac?
Definition
Pericarditis 935
Term
What causes the pericardial sac to be inflamed, causing visceral and parietal surfaces of the pericardium to rub together?
Definition
Pericarditis 935
Term
What is an ambiguous sound that is associated with turbulent blood flow through the heart valve?
Definition
Murmur 935
Term
What is a vibration that occurs frequently and remains constant?
Definition
Thrill 935
Term
What is a high-pitched sound during the diastole phase that indicates a thickened pericardium that is limiting how far the ventricle can expand during the diastole phase?
Definition
Pericardial Knock 935
Term
What is a situation in which the palpated radial pulse rate is less than the apical pulse rate?
Definition
Pulse Deficit 935
Term
What is a pulse that alternates between strong and weak beats, characteristic of left ventricular systolic damage?
Definition
Pulsus Alternans 935
Term
What is a weakening or loss of a palpable pulse during inhalation, characteristic of cardiac tamponade and severe asthma?
Definition
Pulsus Paradoxus 935
Term
What is an excessive drop (> 10mm Hg) in the systolic blood pressure with each inspired breath?
Definition
Pulsus Paradoxus 935
Term
What is the difference between the systolic and diastolic pressure?
Definition
Pulse Pressure 935
Term
What gives a rough indication of the elasticity of the arterial walls and the SV?
Definition
Pulse Pressure 935
Supporting users have an ad free experience!